Individual provider Active NPI

Erick Kameyoshi Harada, PT, DPT

  • Physical Therapist
  • Oak Harbor, WA
National Provider Identifier
1619201928
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60103910 Issued in WA
Practice address
31955 State Route 20
Oak Harbor, WA 98277-5211
Phone
(360) 679-8600
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60103910 WA Primary

Addresses

Primary practice location

31955 State Route 20
Oak Harbor, WA 98277-5211

Mailing address

31955 State Route 20 Ste a
Oak Harbor, WA 98277-5211
Phone (360) 679-8600

Other identifiers 3

IdentifierTypeStateIssuer
0289276OtherWAL & I
0289315OtherWAL & I
0289304OtherWAL & I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000154 WA Practitioner - Physical Therapist in Private Practice 4688711807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harada Physical Therapy and Rehab Services Inc PSGroup PAC ID 5294729711, 3 clinicians

Practice addresses (Care Compare)

101 S Main St
Coupeville, WA 98239-3519
Phone (360) 682-2770

31955 State Route 20
Oak Harbor, WA 98277-5211
Phone (360) 679-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60103910WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harada Physical Therapy & Rehab Services Inc., P.S. Physical Therapist CurrentSince Sep 18, 2009 Accepting new patients

Locations

101 S Main St
Coupeville, WA 98239
Phone (360) 678-1200

31955 State Route 20
Oak Harbor, WA 98277
Phone (360) 279-9000

210 SE Pioneer Way
Ste 2
Oak Harbor, WA 98277
Phone (360) 679-8600

31955 State Route 20
Ste A
Oak Harbor, WA 98277

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1619201928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31955 STATE ROUTE 20 STE A",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775211",
            "telephone_number": "360-679-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31955 STATE ROUTE 20",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775211",
            "telephone_number": "360-679-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARADA",
        "first_name": "ERICK",
        "middle_name": "KAMEYOSHI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60103910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0289276",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0289315",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0289304",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.